PREGNANCY-BIRTH Messages for February, 2001: Re: ITP/Vaginal delivery

Re: ITP/Vaginal delivery

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Feb 2001 18:38:25 -0600 (CST)

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In reply to: julie: "ITP/Vaginal delivery"

At Wed, 28 Feb 2001, julie wrote: >
>I have ITP, and had a spleenectomy in 1987. I had my first appt with
>the perinatal doc yesterday, and her take was that a vaginal birth is
>the current delivery method of choice (my platelet count is normal),
>though years ago, C-sections were common. I'm interested in hearing
>about the pros and cons. I fear that the baby will have a low count
>from getting my antibodies and will be traumatized in the birth canal
>(she did say it would be a no forceps delivery). I've had 4 abdominal
>surgeries, and she thinks its better all around to avoid another
>surgery. She did say I should solicit other opinions and we could talk
>further. So ... any thoughts on if a vaginal delivery is safe? I would
>love to delivery normally, if possible, but I don't want to put my baby
>at risk.
>
>--
>Julie
>

Julie, A vaginal delivery is the route of choice as long as your platelet count remains relatively normal. If your platelet count drifts below 75,000, then the fetal platelet count must be checked and if this is not possible then a cesarean should be performed... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: 1st child large & hypoglycemic: 2d PG Test Early for Gest. Diabetes?"
Previous message: Lynn D. Montgomery, MD: "Re: pg or not after D&C"
In reply to: julie: "ITP/Vaginal delivery"

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